Evidence map›Paper›PMID 37200234›Full record

ArticlePloS one2023

Association between cancer stigma and cervical cancer screening uptake among women of Dhulikhel and Banepa, Nepal.

Bandana Paneru, Aerona Karmacharya, Alina Bharati, Soniya Makaju, Bikram Adhikari, Dikshya Kafle, Sunila Shakya, Donna Spiegelman, Sangini Seth, Anne Stangl and 2 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
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  8. Cancer stigma: the need for policy and programmatic action.Journal of the National Cancer Institute. Monographs · 2024
    Article
  9. Measurement of cancer stigma in India: challenges and opportunities.The Lancet regional health. Southeast Asia · 2024
    Article
  10. Article
  11. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Bandana PaneruDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.ORCID 0000-0002-2379-2659
Aerona KarmacharyaDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Alina BharatiDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Soniya MakajuDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Bikram AdhikariDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.ORCID 0000-0002-4299-9233
Dikshya KafleCanadian Red Cross, Country Office Nepal, Kathmandu, Nepal.
Sunila ShakyaDepartment of Obstetrics and Gynecology, Dhulikhel Hospital/Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Donna SpiegelmanCenter of Methods for Implementation and Prevention Science, Yale School of Public Health, New Haven, CT, United States of America.
Sangini SethDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, United States of America.ORCID 0000-0002-3154-9624
Anne StanglInternational Center for Research on Women, Washington, DC, United States of America.
Aamod Dhoj ShresthaCenter for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark.
Archana ShresthaDepartment of Public Health and Community Programs, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.ORCID 0000-0002-4741-090X

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
NCI NIH HHS P30 CA016359
6 · The paper itself

Abstract

backgroundCervical cancer ranks as the most common cancer among Nepalese women with a high incidence and mortality. Despite evidence that effective screening programs reduce disease burden, screening services are under-utilized. Cancer stigma can be a major barrier to cervical cancer screening uptake among Nepalese women.

objectivesThis study assessed the association between cancer stigma and cervical cancer screening uptake among women residing in semi-urban areas of Kavrepalanchok district (Dhulikhel and Banepa), Nepal.

methodsWe conducted a cross-sectional study among 426 women aged 30-60 years using telephone interview method from 15th June to 15th October 2021. A validated Cancer Stigma Scale (CASS) was used to measure cancer stigma and categorized women as presence of cancer stigma if the mean total score was greater than three. We obtained information on cervical cancer screening uptake through self-reported responses. Univariable and multivariable logistic regression were performed to assess the association between cancer stigma and cervical cancer screening uptake. We adjusted socio-demographic: age, ethnicity, occupation, religion and education, and reproductive health variables: parity, family planning user, age of menarche and age at first sexual intercourse during multivariable logistic regression.

resultsTwenty-three percent of women had cancer stigma and 27 percent reported that they had ever been screened for cervical cancer. The odds of being screened was 0.23 times lower among women who had stigma compared to those who had no stigma (95% CI: 0.11-0.49) after adjusting for confounders: age, ethnicity, occupation, religion, education, parity, contraceptive use, age of menarche and age at first sexual intercourse.

conclusionWomen residing in semi-urban areas of Nepal and had cancer stigma were less likely to have been screened for cervical cancer. De-stigmatizing interventions may alleviate cancer stigma and contribute to higher uptake of cervical cancer screening.

Indexed as

Uterine Cervical NeoplasmsCross-Sectional StudiesEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMass ScreeningNepalParityPregnancy

Identifiers

PMID37200234
PMCPMC10194964

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.